Joseph B Sugg, O.D., P.A.
Joseph B Sugg, O.D., P.A. was paid $504K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 42% of everything it billed.
33Billing provider infoJOSEPH B SUGG, O.D., P.A.
HEBER SPRINGS, AR 72543
HEBER SPRINGS, AR 72543
33aNPI1487095543assigned 07/17/2013
33bProvider typeOptometrist
28Total paid$504K
24GClaims11,247
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Arkansas
Rank by total paid#31 of 354
Median peer was paid$79K
This provider vs. median6.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,452 | $67K | |
| 2019 | 1,645 | $69K | |
| 2020 | 1,234 | $54K | |
| 2021 | 1,797 | $82K | |
| 2022 | 1,536 | $69K | |
| 2023 | 1,804 | $82K | |
| 2024incomplete | 1,779 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 42% | 4,445 | 4,252 | $209K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 32% | 2,866 | 2,771 | $159K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 9.6% | 849 | 829 | $48K |
| 92015 | Determination of refractive state | 8.0% | 2,036 | 1,882 | $40K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.6% | 889 | 812 | $38K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 71 | 68 | $3K |
| S0512 | Daily wear specialty contact lens, per lens | <1% | 21 | 12 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 15 | 15 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $778.80 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 15 | 13 | $456.00 |
| 92370 | <1% | 12 | 12 | $414.12 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 16 | 12 | $338.98 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSUGG, JOSEPH (OPTOMETRIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Dothan Ophthalmology | Dothan, AL | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.